Alignment Assessment

Please Fill This Out to Request a Serviceship Opportunity with Lobsterbird Sophia Remolde
Full Name*

First NameLast Name
E-mail*
Phone*

Area CodePhone Number
How did you come across Lobsterbird / Sophia Remolde?*
What do you do for work?*
What do you want most in your life right now?*
What have you done before to solve this problem/actualize this dream? *
What about it didn't work for you? *
What is your biggest daily challenge?*
What would stop you from meeting your goals?*
On a scale from 1-10 how confident are you?*
Are you applying for either a full or partial serviceship?*
What is your ethnicity, gender, disability, or any other ways you experience lack of privilege?*
In what ways do you experience privilege? (Examples include but are not limited to: being white-passing, able-bodied, education, etc.)*
Are you BIPOC, LGBTQ+ or disabled?*
Anything else you would like me to know?*
I would like to receive gifts of love from Lobsterbird that will free my creative sovereignty. (Your information will always remain confidential.)*

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Please Fill This Out to Request a Serviceship Opportunity with Lobsterbird Sophia Remolde